Kahla Jean Maurer, is a medicare enrolled "Nurse Practitioner - Family" in Hopedale, Illinois. Her current practice location is
143 Ford Ave, Hopedale, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 449-3336.
Kahla Jean Maurer is licensed to practice in Illinois (license number 209.026951) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336830652.
Provider's Profile
| Full Name | Kahla Jean Maurer |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 143 Ford Ave, Hopedale, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336830652
- Provider Enumeration Date: 05/17/2023
- Last Update Date: 05/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133586035
- Enrollment ID: I20230608001181
Medical Identifiers
Medical identifiers for Kahla Jean Maurer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336830652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209.026951 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kahla Jean Maurer allows following entities to bill medicare on her behalf.
| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kahla Jean Maurer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kahla Jean Maurer,
12 Summerset Dr,
Mackinaw, IL 61755-9772
Ph: (309) 241-7685 | Kahla Jean Maurer,
143 Ford Ave,
Hopedale, IL 61747-9485
Ph: (309) 449-3336 |
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